Capacity and Consent

Question 1

What issues may arise from pt w/ Alzheimer’s

Answer 1

Communication
Co-operation
Best interest

Question 2

What issues may have w/ providing tx to pt w/ Alzheimer’s

Answer 2

Compliance - aim to complete definitive tx in early stages
Maintenance of any dental treatment

Question 3

What is capacity?

Answer 3

Being able to make own decision

Question 4

What does MCA 2005 state?

Answer 4

Everyone should be presumed to have capacity to determine their need for medical treatment
Should be assessed every time as capacity can fluctuate

Question 5

How to assess capacity?

Answer 5

Pt must be able to:
1. Understand information about decisions - risks/ benefits/ alternative
2. Retain information
3. Use information to make dcsion
4. Communication of decision

Question 6

What must be satisfied for consent to be valid?

Answer 6

Pt must have capacity, consent must be voluntary and informed

Question 7

Can consent be implied?

Answer 7

Yes - for examination for example - pt sitting down and opening mouth is implied consent

Question 8

What is lasting power of attorney?

Answer 8

LPA is legal document that enable to appoint 1+ people to help make decision if in future you lacked capacity

Question 9

What are two types of LPA?

Answer 9

1. Health and welfare
2. Property and financial affairs

Question 10

What is IMCA?

Answer 10

Independent mental capacity advocate

Independent person who supports and presents person lacking capacity - ensure MCA 2005 followed

Question 11

What to do if pt can’t provide consent and has no advocate?

Answer 11

Hold best interest decision meeting - involve HPC and IMCA